The entire Northeast coast was told Friday to be prepared for flooding, high winds, widespread power outages and even snow early next week as Hurricane Sandy made its way north after killing 41 people in the Caribbean.

"It will be unpredictable until the last minute," Jim Cisco, a forecaster at the National Weather Service's prediction office, told NBC News. "That really is the truth of the situation ... we're not sure how it's going to behave."

That's because Sandy will be making a hard west turn from the Atlantic, a rare occurrence. "It's coming in at a sharper angle" than previous storms because cold air moving in from the Northern Plains is undercutting Sandy's circulation, Cisco added.

On top of that, a new lunar cycle will bring high tides Sunday, Monday and Tuesday -- adding to the storm surge from Sandy.

On Friday evening, Sandy was packing 75 mph winds and was centered about 90 miles north of Great Abaco Island and 400 miles southeast of Charleston, S.C. The hurricane was moving northward about 7 mph. Hurricane force winds extended 35 miles from Sandy's center; tropical storm force winds reached out 275 miles.

"We haven't had much precedent for a storm like this," Cisco said. "Its effects may surprise even us."

Storm surge: It's still too early to predict exactly where the surge will be worst, James Franklin of the National Hurricane Center told reporters Friday, but "somebody is going to get a significant surge impact from this."

NBC News meteorologist Bill Karins said current data indicates "the most likely location for this to occur is along Delaware/New Jersey shores followed by Long Island and coastal Connecticut."

High winds: Those will blow through an area "several hundred miles across," said Franklin, adding that New York City could see tropical storm force winds.

Karins expected "40-60 mph sustained winds over the region for 24-48 hours. Gusts along the coast could reach 80 mph, while inland gusts will likely peak in the 60-70 mph range."

Heavy snow: Parts of West Virginia and the Appalachian corridor are likely to see more than a foot and possibly up two two feet, Louis Uccellini, director of the National Centers for Environmental Protection, told reporters.

Rainfall: 5-10 inches are expected from the Outer Banks up into New York City, Karins said. "River levels are currently running low which helps, he added. "Flash flooding of small creeks and streams is certain due to high rainfall rates but major rivers have a better chance of staying within their banks."

Landfall: Sandy's core could hit anywhere between the Mid-Atlantic and the New York area. F or now, Cisco said, Sandy is projected to make landfall near Delaware Bay, just south of New Jersey.

Although Sandy is not forecast to be as strong as other recent storms to hit the Northeast -- such as Hurricane Irene in August 2011, which left $4 billion in damage -- it holds the potential to cause significant damage because it will be moving slowly.

Some experts predict at least $1 billion in damage in the United States.

"The legacy of this storm will likely be coastal storm surge flooding and power outages," Karins said, while adding: "Everyone within 200 miles of the Northeast coast should hope for the best, but prepare for the worst: 5-7 days without power and short term loss of fresh water."

Sandy will also be hitting the Northeast on the 21st anniversary of the infamous "Perfect Storm" of Oct. 30, 1991, that killed six fishermen.

In related developments:

Most of Florida was under a tropical storm warning, with coastal areas seeing high surf, winds and rain.

In New Jersey, Cape May County urged people to leave its barrier islands by Saturday.

Philadelphia urged residents of flood-prone neighborhoods to leave their homes by Sunday afternoon.

Maryland and Virginia declared a state of emergency so as to free up resources ahead of time.

New York City said it will suspend all construction work starting Saturday and until further notice. The worst for the city should be Monday through Tuesday, NBCNewYork.com reported.

Wilfredo Lee
/
AP

A Fort Lauderdale Police car stops at a fallen palm tree trunk blocking the road on Thursday. Tropical Storm Warnings and Watches are in effect across parts of Florida.

Caribbean deaths, damage
Sandy was exiting the Bahamas on Friday, having weakend from a Category 2 to a Category 1 overnight.

The number of deaths blamed on Sandy's torrential rains and heavy winds jumped to 31. Below's a look by country.

Haiti: Sandy triggered flash floods and landslides that killed 26. The dead included a family of five in Grand-Goave, west of the capital Port-au-Prince, killed in a landslide that destroyed their home, authorities said.

Cuba: 11 deaths were reported, among them a 4-month-old baby, NBC News' Mary Murray reported from Havana. Most were killed by falling trees or in building collapses in Santiago de Cuba province and neighboring Guantanamo province. Hundreds of homes were destroyed or damaged.

Dominican Republic: Two deaths were reported but details were not available.

Bahamas: A death was reported and some islands saw extensive damage. "It was way stronger than we expected," said Joel Friese, general manager of the Stella Maris Resort on Long Island. "There are lots of downed trees and partial to heavy roof damage on some of the buildings." Several islands also saw power outages.

Jamaica: A man was crushed by a boulder and many areas were flooded or saw wind damage on the eastern side of the island.

Video: Dire predictions for Hurricane Sandy

Closed captioning of: Dire predictions for Hurricane Sandy

>>>good evening, we're going into a situation this weekend that is very scary for a whole lot of people. i want to read you a quote from a veteran forecaster today, he says we are in uncharted territory here, i have never seen anything like this, i never saw anything like it, at a loss to describe what it could do. it is near certain that hurricane sandy will make landfall, rather than turning out to sea, end of quote. dire predictions like that are coming days in advance, despite the storm that was shredded by dry air all day. not much to look at, not very powerful as the center of it sits off the coast of miami. this is what is going to happen, the set-up, the
chemical reaction
, when it takes a left hook, oceans will surge, trees hook. oceans will surge, trees will come down, portions of the coastline could be ravaged. we have it covered and want to talk to
janice huff
, how are we so confident it will blow up in size and make that left hook? well, brian, there is still uncertainty with the track of the storm, but there is a certainty that it will intensify, moving into parts of the midwest, and helping the storm to pick up and energize even more. it is weaker now, the
category 1
topping winds of 75. moving away from the bahamas, there is a chance it could be weaker by saturday afternoon. but then they project it will bring it back up to
category 1
status, but they found it all the way to virginia, and maybe even the
outer banks
will feel its effects by then. the storm is expected to move onshore by monday and tuesday afternoon, possibly as a very strong hurricane or maybe even another type of storm, a nor'easter, moving onshore, all depending on where it moves onshore is how severe it will be. but the entire area will feel the effects, whether you're inland or along the coast. you know, the spaghetti trackers, here, all over the place. but most of them are concentrated between
rhode island
and washington, d.c. so there is a possibility, that across the south of
maryland
, parts of the new
jersey shore
, the
maryland
coastline will see the stronger impacts in terms of the
storm surge
, and
heavy rain
, as well. this projection brings all the rain north to
southern new jersey
and virginia and
maryland
by sunday, monday, afternoon, monday night into tuesday is when it would be the worse, brian.

Hundreds of people affected by Sandy wait in line for distributions from the Federal Emergency Management Agency (FEMA), Red Cross and other aid organizations on Nov. 17 in the Coney Island section of Brooklyn. FEMA says it is extending, by a month, a program providing temporary housing to New Yorkers displaced by Superstorm Sandy.
(Bebeto Matthews / AP)
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A volunteer checks Donald Vaughn, who had not been able to keep a dialysis appointment, in his apartment at a public housing facility in the Rockaway section of the Queens borough of New York on Nov. 17. Some residents have struggled to get their lives back to normal more than two weeks after Hurricane Sandy since some essential services have yet to return to parts of the city.
(Eric Thayer / Reuters)
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Contractors dig several feet of sand out of a garage after it was deposited by the storm surge from Sandy in Mantoloking, N.J. on Nov. 16.
(Lucas Jackson / Reuters)
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Destroyed rides sit on the beach from the Funtown Pier on Nov. 16 in Seaside Heights, N.J. Two amusement piers and a number of roller coasters were destroyed in the seaside town by Sandy.
(Mario Tama / Getty Images)
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A surfer heads out into the water in the heavily damaged Rockaway neighborhood where a large section of the iconic boardwalk was washed away on Nov. 16, in the Queens borough of New York City.
(Spencer Platt / Getty Images)
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President Barack Obama and New York Gov. Andrew Cuomo, left, talk with a man inside the distribution tent as they tour a FEMA recovery center in the aftermath of Superstorm Sandy on Staten Island in New York on Nov. 15, 2012. Sen. Chuck Schumer, D-NY, is at right. Obama got a look Thursday at the devastation that Sandy waged on New York City, flying over flood-ravaged Queens before landing in Staten Island to meet storm victims who lost homes and loved ones.
(Mandel Ngan / AFP - Getty Images)
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Rosemary McDermott and her husband Anthony Minor react as they open a safe containing a family genealogy they were able to salvage from the basement of her mother's home in the Breezy Point section of Queens, N.Y., on Nov. 15, 2012. A fire destroyed more than 100 homes in the oceanfront community during Superstorm Sandy. At left are Todd Griffin and Kevin Striegle, volunteers with Adventures in Missions, who helped find the safe beneath the debris.
(Mark Lennihan / AP)
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People receive free clothing at the Ocean Bay Action Center on Nov. 15, 2012, in the Rockaway neighborhood of Queens in New York City. More than two weeks after Superstorm Sandy, residents are still lining up for free clothing and food as emergency workers continue to restore power, water and heat to the battered community.
(John Moore / Getty Images)
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Patrick Wall, house manager at Coney Island USA, cleans a vintage player piano damaged in the flooding of the buildings that house the Coney Island Circus Sideshow and the Coney Island Museum on Nov. 15, 2012, in Brooklyn, New York City. Staff and volunteers are working to restore what can be saved following Superstorm Sandy.
(Mario Tama / Getty Images)
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A worker looks up at a hole in the foundation caused by Hurricane Sandy to the home of Leslie Mahoney in the Brooklyn borough of Belle Harbor, N.Y., Nov. 14.
(Lucas Jackson / Reuters)
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Lisa Baney walks back toward her family's home after taking a photo of a neighbor's destroyed home on Nov. 14, in Bay Head, N.J. Many residents of the hard hit seaside town remain without power.
(Mario Tama / Getty Images)
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A living room is filled with sand washed in by Superstorm Sandy on Nov. 14, in Point Pleasant Beach, N.J.
(Mario Tama / Getty Images)
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A man looks up at a building along the destroyed section of boardwalk on Nov. 14, in Point Pleasant, N.J.
(Mario Tama / Getty Images)
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Workers pause to look at a home that has been pushed on top of a work truck by the storm surge of Hurricane Sandy in the Brooklyn borough of Belle Harbor N.Y., Nov. 14.
(Lucas Jackson / Reuters)
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A candle is handed out to residents in need from a group called Dream Center in the heavily damaged Rockaway neighborhood in Queens, N.Y. on Nov.14. Two weeks after Superstorm Sandy slammed into parts of New York and New Jersey, thousands are still without power and heat.
(Spencer Platt / Getty Images)
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An New York police officer jumps over a chasm in the boardwalk caused by the storm surge of Hurricane Sandy in Belle Harbor, N.Y., Nov. 14.
(Lucas Jackson / Reuters)
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Louise McCarthy carts belongings from her flood-damaged home as she passes the charred ruins of other homes in the Breezy Point section of the Queens borough of New York, Nov. 14. A fire destroyed more than 100 homes in the oceanfront community during Superstorm Sandy.
(Mark Lennihan / AP)
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Heavy equipment operator Bill Unger carries photos he salvaged from a mass dump of household possessions on Nov. 13, in the Midland Beach area of the Staten Island, N.Y. Unger has been helping to remove Hurricane Sandy debris for the city and collecting photos along the way. He takes them to his daughter, who is posting them on Facebook for neighborhood residents to find online and later collect.
(John Moore / Getty Images)
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A woman steps down off a damaged section of boardwalk in the Rockaway neighborhood of New York City, Nov. 13.
(Mario Tama / Getty Images)
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CVS workers stock the shelves of a temporary store being constructed in front of a damaged CVS location in the Rockaway Beach neighborhood of Queens, New York, Nov. 12. Most stores in the area have been damaged or destroyed.
(Andrew Gombert / EPA)
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An insurance claims adjuster climbs the entrance to a house in the Breezy Point neighborhood on Nov. 12, which was left devastated by Superstorm Sandy in New York City's Queens borough.
(Adrees Latif / Reuters)
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Chris Schmidt works on ripping out damaged wood in a friend's home, as a fire burns in the fireplace, on Nov. 12. People in the area continue to deal with the aftermath of Superstorm Sandy in the Oakwood Beach neighborhood of Staten Island, N.Y.
(Justin Lane / EPA)
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Members of the U.S. Army's 62nd Medical Brigade Preventive Medicine Detachment take water samples during early morning fog in Breezy Point, on Nov. 12. The neighborhood was left devastated by Superstorm Sandy in New York City's Queens borough.
(Adrees Latif / Reuters)
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People line up to receive donated items from Catholic Charities of Brooklyn and Queens in the Visitation of the Blessed Virgin Mary Catholic Church, in Brooklyn's Red Hook neighborhood, on Nov. 12.
(Mario Tama / Getty Images)
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People gather for free donated food beneath a spotlight in an area without power on Nov. 12, in the Rockaway neighborhood in New York City's Queens borough.
(Mario Tama / Getty Images)
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A young girl rejoices as she finds a doll, while she and her mother search through piles of clothes and other items donated for victims of Superstorm Sandy, on a sidewalk on the south side of Staten Island, on Nov. 12.
(Mike Segar / Reuters)
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Seabee EOCN Courtney McCormack, left, grabbed a shovel and started digging out the sand that had washed up against the house as others in the group grabbed the waterlogged debris to begin a 100 yard walk out of the neighborhood to a large trash pile in Breezy Point, N.Y. on Nov. 12.
(John Makely / NBC News)
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A cyclist passes piles of debris on Nov. 10, as clean-up continues where a large section of the iconic boardwalk was washed away in the heavily damaged Rockaway neighborhood of the Queens borough of New York City.
(Spencer Platt / Getty Images)
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Community pet rescuer Kim Ruiz stands among the cats, five of whom were rescued during Superstorm Sandy, and dogs she houses in her unheated apartment without electricity in the Far Rockaway neighborhood in the Queens borough of New York City on Nov. 9.
(Mario Tama / Getty Images)
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Mac Baker heats pots of water on the floor with small flames for a bit of warmth in her unheated apartment on Nov. 9, with her niece Nytaisha Baker in the Ocean Bay public housing projects in the Far Rockaway neighborhood of the Queens borough of New York City.
(Mario Tama / Getty Images)
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David Sylvester searches through the remains of his house, which was flooded and then burned to the ground during Hurricane Sandy, for the corpses of his five cats in the Midland Beach neighborhood in Staten Island, N.Y., on Nov. 9.
(Andrew Burton / Reuters)
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Dean Rasinya takes a break from cleaning his damaged home on Nov. 8 in the Breezy Point neighborhood of Queens in New York City. Rasinya's house still stands, just at the edge of the fire's reach, near the area where there was a huge blaze that destroyed over 100 homes in the aftermath of Superstorm Sandy. Rasinya has lived in the neighborhood for 35 years and intends to rebuild.
(Mario Tama / Getty Images)
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U.S. Marines from the 8th Engineer Support Battallon out of Camp Lejeune, N.C., attempt to start a generator which they will use to pump out floodwater from an overnight storm on Nov. 8 in the Breezy Point neighborhood of Queens, N.Y. The Breezy Point neighborhood was heavily damaged by Superstorm Sandy.
(Mario Tama / Getty Images)
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David Sylvester, 50, stands in front of the remains of his house in the Midland Beach neighborhood on Staten Island in New York City on Nov. 8. Sylvester and his wife Joanne lost their five cats when their home caught fire after Hurricane Sandy flooded their neighborhood.
(John Makely / NBC News)
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Theresa Goddard, her apartment still without electricity, is overwhelmed while discussing her living conditions on Nov. 8 in the Red Hook neighborhood of Brooklyn in New York City. Even as a storm plunged temperatures below freezing, she and many other residents of the Red Hook public housing projects remain without heat and running water.
(John Moore / Getty Images)
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A damaged house sits in the middle of the street as the area continues to deal with the aftermath of Hurricane Sandy in Breezy Point, Queens, N.Y. on Nov. 8.
(Justin Lane / EPA)
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Snow covers debris from the cleanup after Sandy in the Rockaway neighborhood of Queens, N.Y., on Nov. 8. Residents across the Northeast woke up on Nov. 8 to more than 200,000 new power outages and record early snow from a nor'easter that struck just 10 days after Superstorm Sandy battered the region.
(Lucas Jackson / Reuters)
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Ed Cardona shovels a few inches of snow from his driveway, just two hundred yards from the water, on Staten Island in New York City on Nov. 8. Cardona, who has lived here since 1989, had about three feet of water after Superstorm Sandy. "I still love the place, I'm not going anywhere. I picked up a new snowblower within the last seven months that went under water. I didn't get to use it at all, but that's OK. The family's safe, that's what's important," said Cardona.
(John Makely / NBC News)
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People wait in line to buy gasoline during a snowstorm on Nov. 7 in the Brooklyn borough of New York City. The city is still experiencing long gas lines in the wake of Superstorm Sandy.
(Mario Tama / Getty Images)
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A man helps another person climb down from a destroyed section of boardwalk after they checked the storm's approach in the Rockaway neighborhood of Queens, N.Y., on Nov. 7. The Rockaway Peninsula was especially hard hit by Superstorm Sandy and some evacuated ahead of the nor'easter.
(Mario Tama / Getty Images)
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Volunteers walk through falling snow while bringing food to residents of homes damaged by Superstorm Sandy on Nov. 7 in the Staten Island borough of New York City.
(John Moore / Getty Images)
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Snow falls as Eddie Saman clears out destroyed household belongings from his flood-damaged home on Nov. 7 in the Staten Island borough of New York City. He and fellow residents of the low-lying New Dorp area of Staten Island had been advised to evacuate ahead of the arrival of a storm that could potentially reflood areas devastated by Superstorm Sandy.
(John Moore / Getty Images)
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U.S. Postal Service mail carrier Kenneth Henn delivers mail to a residence along Ocean Ave. at 15th Street in the evacuated section of Belmar, N.J., on Nov. 7. Machines pile sand along Ocean Ave. in the background.
(John Makely / NBC News)
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Linemen install a transformer on Nov. 7 to help restore power in the Staten Island community of Oakwood Beach in New York City. The linemen were from Chain Electric, a contract utility crew that drove in from Mississippi to help out.
(Paul J. Richards / AFP - Getty Images)
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Members of the National Guard walk past a house damaged by Sandy as it is painted with an American flag in the New Dorp section of Staten Island, N.Y. on Nov. 6. Voting in the U.S. presidential election is the latest challenge for the hundreds of thousands of people in the New York-New Jersey area still affected by superstorm Sandy.
(Seth Wenig / AP)
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Poll workers Eva Prenga, right, Roxanne Blancero, center, and Carole Sevchuk try to start an optical scanner voting machine in the cold and dark at a polling station in a tent in the Midland Beach section of Staten Island, N.Y., on Nov. 6. The original polling site, a school, was damaged by superstorm Sandy.
(Seth Wenig / AP)
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Nikolas Policastro, 20, gives a kiss to one of his five puppies while Paige Shaw of the American Red Cross pets their mother "Bella" at a shelter in the Pinelands Regional Junior High School in Little Egg Harbor, N.J. on Nov. 6. Policastro, his four brothers and his parents sought refuge at the shelter after their home in Mystic Islands was swamped with over five feet of water from Sandy. The shelter was one of the few places that the family could house their extended family of five cats, five dogs and five thee-week-old puppies.
(John Makely / NBC News)
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A woman and her son scramble over a tree toppled by superstorm Sandy as she accompanies him to Public School 195, in the background, in the Manhattan Beach neighborhood of Brooklyn, on Nov. 5 in New York. Nov. 5 was the first day of public school for New York City students following the storm.
(Mark Lennihan / AP)
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MTA employees observe a pump removing seawater from the L train's tunnel, in the aftermath of superstorm Sandy in New York City on Nov. 5. The MTA says the G and L trains are now the top priority to reopen. The signal system on the G still needs repairs, and the L tunnel under the East River is still being pumped out.
(MTA via AP)
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People wait at a crowded subway stop as New York City tries to recover from the after effects of Hurricane Sandy in Brooklyn, N.Y. on Nov. 5. Portions of the city's transit system are still not operating due to flooding and damage from last week's hurricane causing severe crowding in areas.
(Justin Lane / EPA)
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Lakota Serpica, 8, does her part to help organize donations for people affected by Sandy in Midland Beach in Staten Island, N.Y. on Nov. 5.
(John Makely / NBC News)
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People salvage food from bags thrown out of a flooded store in the Coney Island area of Brooklyn, N.Y., on Nov. 4. Victims of Sandy on the East Coast struggled against the cold early on Sunday amid fuel shortages and power outages, even as officials fretted about getting voters displaced by the storm to polling stations for Tuesday's presidential election.
(Lucas Jackson / Reuters)
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Soldiers from the National Guard help to unload supplies to set up a donation distribution center for victims of Sandy, at St. Camillus School in the Rockaways area of Queens, N.Y., on Nov. 4.
(Lucas Jackson / Reuters)
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Rockaway residents stay warm by a fire during near-freezing temperatures on Nov. 4 in the Rockaway area of Queens, N.Y.
(Allison Joyce / Getty Images)
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Members of the Coney Island Cathedral of Deliverance worship in a neighboring community center on Nov. 4 in New York City, after their church and beach community were heavily damaged by Sandy.
(Mark Lennihan / AP)
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New York City Marathon runners help clear debris from homes in a damaged neighborhood in the Staten Island borough of New York on Nov. 4. More than 1,000 people, many of whom had originally planned to run the marathon, crowded onto two Staten Island Ferry boats and headed to the stricken borough with relief supplies ranging from food to plastic bags.
(Adrees Latif / Reuters)
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Vincent Gearity removes water-damaged insulation in a crawl space below a home as the area continues to clean up after Hurricane Sandy in Toms River, N.J., Nov. 4.
(Steve Nesius / Reuters)
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A man takes a photograph of a home destroyed by Hurricane Sandy in Point Pleasant Beach, N.J., on Nov. 4.
(Les Stone / American Red Cross via Reuters)
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A man walks near standing water and piles of sand swept onto a road from Superstorm Sandy at Rockaway Beach on Nov. 3, in the Queens borough of New York City.
(Mario Tama / Getty Images)
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A man stands outside his house which was left flooded by hurricane Sandy in the Staten Island borough of New York, Nov. 3.
(Adrees Latif / Reuters)
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Volunteer Christina Wilson, left, helps clean up the kitchen of the Ventura family home, which was flooded during Superstorm Sandy, Nov. 3, in Staten Island, N.Y. A Superstorm Sandy relief fund is being created just for residents of the hard-hit New York City borough. Former Mayor Rudolph Giuliani and Borough President James Molinaro say the fund will help residents displaced from their homes.
(Julio Cortez / AP)
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Howard Goldsmith consoles his wife, Rosanna Troia, while helping clean out Troia's mother's home in the Midland Beach neighborhood of Staten Island on Nov. 3. As clean-up efforts from Superstorm Sandy continue, colder weather and another storm predicted for next week are beginning to make some worried.
(Andrew Burton / Getty Images)
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A member of the National Guard fills up a gas tank at the Armory on Nov. 3, in the Staten Island borough of New York City. New Jersey has begun rationing gas and the Department of Defense will be setting up mobile gas stations in New York City and Long Island.
(Andrew Burton / Getty Images)
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People clean the boardwalk of sand washed in by Superstorm Sandy in low-lying historic Coney Island on Nov. 3, in the Brooklyn borough of New York City.
(Mario Tama / Getty Images)
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Roxanne Boothe uses a flashlight as she walks through a hallway in Sam Burt Houses, where she is president of the tenants' association, on Nov. 3 in Coney Island, N.Y. The complex, which has been without power since Oct. 29, flooded during superstorm Sandy and a 90-year-old woman who had lived there for more than 40 years drowned on the first floor. "We have no heat, no water, no electricity, it’s dark in the whole building," said Boothe, who was frustrated that the Red Cross and FEMA assistance has not reached her neighborhood.
(Bebeto Matthews / AP)
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Jeff Kulikowski, left, sits on a bench on the boardwalk that was pushed off of its pilings by storm surge as the city tries to recover from the after effects of Hurricane Sandy in the Rockaways neighborhood of Queens, N.Y., Nov. 3. Large areas of the city are still without power or functioning stores to buy food and water.
(Justin Lane / EPA)
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Editor's note:
This image contains graphic content that some viewers may find disturbing.